Jobs
>
Los Angeles

    Manager of Medicare Advantage Coding, Education and Audit - Los Angeles, United States - UCLA Health

    UCLA Health
    UCLA Health Los Angeles, United States

    3 weeks ago

    Default job background
    Description
    General Information

    Press space or enter keys to toggle section visibility


    Work Location:
    Los Angeles, USA

    Onsite or Remote

    Fully On-Site

    Work Schedule

    Monday - Friday 8:00am - 5:00pm PST; may require occasional weekends or evening hours

    Posted Date

    03/04/2024


    Salary Range:
    $ Annually

    Employment Type


    • Staff: Career
    Duration

    indefinite

    Job #

    14520

    Primary Duties and Responsibilities

    Press space or enter keys to toggle section visibility

    Note:
    Position is onsite with the consideration of flexible hybrid

    Take on an important leadership role within an award-winning health system. Help improve patient experiences as part of a world-class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Health.


    As a key leader within our Medicare Advantage team, you will develop and execute of strategies, programs, and projects while managing key performance indicators to drive operational excellence.

    You will be responsible for leading, developing, and facilitating the team to ensure the application of industry best practices related to accuracy, efficiency, and adherence to all regulatory and CMS compliance requirements.

    You will manage the coding consultants who provide audit, coding expertise, and provider education to internal and external clients. You will also serve as a Subject Matter Expert for Medicare Advantage risk adjustment.

    Salary offers are determined based on various factors including, but not limited to, qualifications, experience, and equity. The full salary range for this position is $78,800 - $175,000 Annually.

    The budgeted salary range that the University reasonably expects to pay for this position is about $115,000 - $140,000 Annually.

    Job Qualifications

    Press space or enter keys to toggle section visibility

    We're seeking a self-motivated, flexible, goal-driven, service-oriented leader with:


    • This role will require occasional travel to local provider offices
    • Required Certified Professional Coder (CPC-I) certification, Certified Risk Adjustment (CRC) coder AAPC certification, and Certified Professional Medical Auditor (CPMA) certifications from AAPC (to obtain CPMA within 120 days from date of hire, if applicant does not currently possess)
    • Six or more years of risk adjustment experience
    • Three to five years of provider education experience with the development of educational materials and presentations
    • Five or more years of physician billing/coding experience
    • Previous managerial experience
    • Exceptional relationship-building skills with clinical and non-clinical personnel
    • Knowledge of the Medicare Advantage STARS program and NCQA technical specifications
    • In-depth understanding of HIPAA
    • Extensive knowledge of HCC models V24 and V28
    • Familiarity with claims and encounter data processes
    • Experience conducting mock RADV or actual RADV
    • Related Bachelor's degree and RN licensure preferred
    • Strong leadership, communication, prioritizing, and interpersonal skills
    • Ability to develop, implement, and evaluate methods and systems to improve efficiency
    • Expertise in leading cross-functional workgroups


    UCLA Health is a world-renowned health system with four award-winning hospitals and more than 260 community clinics throughout Southern California.

    We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.
  • Board of Equalization

    Associate Property Auditor Appraiser

    2 weeks ago

    Board of Equalization Los Angeles County, CA, United States

    Under the general direction of a Business Taxes Administrator (BTA) II, the Associate Property Auditor Appraiser (APAA) in the Assessment Practices Survey Division (APSD) serves as a member of a survey team that reviews the assessment practices and procedures of County Assessors' ...

  • Artemis Professionals, LLC

    Audit Consultant

    3 weeks ago

    Artemis Professionals, LLC Los Angeles, United States

    Job Description · Job Description · This is a 4-month contract opportunity with a nonprofit organization. Financial auditing experience is desired, along with 3-5 years in relevant position or equivalent combination of education and experience.Major Duties and ResponsibilitiesP ...

  • DelDOT

    Internal Auditor II

    3 weeks ago

    DelDOT Los Angeles, United States

    IntroductionMake a Difference with DHSS\rOur mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize ...

  • Bank of Hope

    Senior Audit Manager

    6 days ago

    Bank of Hope Los Angeles, United States

    Manage all phases of internal audits, including planning, testing, issues management, reporting, and continuous monitoring. · Assist with conducting the annual risk assessment and developing the annual plan. · Manage a team of auditors, providing support and assistance when nec ...

  • Royal Business Bank

    Assistant Internal Auditor

    4 days ago

    Royal Business Bank Los Angeles, United States

    WILL PROVIDE TRAINING* · JOB SUMMARY · To assist Internal Audit Department to provide audit services on Branches, COS, Online Banking, EFT/ACH, Trade Finance and other operational related or assignments assigned by Head of Internal Audit. The main focus of Internal Audit was to ...

  • Regal Executive Search

    Audit Staff Associate

    3 weeks ago

    Regal Executive Search Los Angeles, United States

    Job DescriptionAudit Staff · Job Description: · High-performing accounting, tax and consulting firm with significant national presence in strategic US geographies. · Our Audit practice is seeking an experienced Audit professional to join our team in our Los Angeles office. As ...

  • Consultative Search Group

    Royalty Audit Supervisor/Manager

    3 weeks ago

    Consultative Search Group Los Angeles, United States

    Job Title: Audit Supervisor/Manager · Reports To: Audit Director · FLSA Status: Exempt · Department: Audit - Music Industry · Your Role: · Excellent opportunity for an audit professional with music industry experience. Our client is seeking a highly motivated audit superviso ...

  • System Soft Technologies

    Quality Engineer

    5 days ago

    System Soft Technologies Los Angeles, United States

    Quality Engineer - Aerospace · North Hollywood, CA · Summary · The Quality Systems Engineer role provides a range of expertise to ensure that the products are free of flaws and function as designed. Participates in assuring high reliability and oversees the quality standards of ...

  • Bank of Hope

    Senior Internal Auditor

    2 weeks ago

    Bank of Hope Los Angeles, United States Full time

    Perform operational, compliance (consumer or BSA/AML/OFAC), credit, or financial audits under the direction of the Audit Manager or Audit Director, which can include individual or multiple audit or assignments and/or projects · Develop comprehensive risk and control matrices and ...

  • State of California

    Auditor

    3 weeks ago

    State of California Los Angeles, United States

    Department of Resources Recycling & RecoveryJC JC · AuditorASSOCIATE MANAGEMENT AUDITORFinal Filing Date: 5/17/2024Application Methods: · Electronic (Using your CalCareer Account) · By Mail · Drop-offReviews and evaluates audit work papers for accuracy and completeness in acc ...

  • Cybernetic Search

    AVP Internal Audit Supervisor

    3 weeks ago

    Cybernetic Search Los Angeles, United States

    Job Type: · Permanent/Fixed TermAbout the job People Drive Our Success · About the job People Drive Our Success · Are you enthusiastic, highly motivated, and have a strong work ethic? If yes, come join our team At Cathay Bank – we strive to provide a caring culture that suppor ...

  • Royal Business Bank

    Assistant Internal Auditor

    2 days ago

    Royal Business Bank Los Angeles, United States

    **WILL PROVIDE TRAINING*** · JOB SUMMARY · To assist Internal Audit Department to provide audit services on Branches, COS, Online Banking, EFT/ACH, Trade Finance and other operational related or assignments assigned by Head of Internal Audit. The main focus of Internal Audit was ...

  • Regal Executive Search

    Senior Internal Auditor

    3 weeks ago

    Regal Executive Search Los Angeles, United States

    Senior Internal Auditor - Hedge Fund/Alternative Investment · Job Description · Responsibilities · The · Senior Auditor · position will be responsible for conducting operational, financial, and regulatory internal audits (no SOX testing). The following statements are intende ...

  • Children's Hospital Los Angeles

    Mgr., Internal Audit

    3 weeks ago

    Children's Hospital Los Angeles Los Angeles, United States

    Mgr., Internal Audit / Office of Compliance & Privacy · NATIONAL LEADERS IN PEDIATRIC CARERanked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. · Here world-class experts in medicine, edu ...

  • Miller Kaplan Arase LLP

    Audit Associate

    3 weeks ago

    Miller Kaplan Arase LLP Los Angeles, United States

    Job Description · Job Description · It's more than just numbers. · Miller Kaplan is a different kind of CPA firm; we believe in building a legacy—yours. We want to give our clients the very best, and we understand that begins with helping our employees be their best through pr ...

  • Fox Corporation

    Manager, IT Corporate Audit

    1 week ago

    Fox Corporation Los Angeles, United States

    OVERVIEW OF THE COMPANY · Fox CorporationUnder the FOX banner, we produce and distribute content through some of the world's leading and most valued brands, including: FOX News Media, FOX Sports, FOX Entertainment, FOX Television Stations and Tubi Media Group. We empower a dive ...

  • L.A. Care Health Plan

    Financial Analyst II

    3 weeks ago

    L.A. Care Health Plan Los Angeles, United States Full time

    Job Summary · The Financial Analyst II is responsible for the management and preparation of all month-end financial activity reports. This position will review and provide detailed explanation of variance report to support trend analysis on Revenue, Capitation, Shared Risk and c ...

  • Liebert Cassidy Whitmore

    Wage & Hour Attorney (Hybrid)

    1 day ago

    Liebert Cassidy Whitmore Los Angeles, United States

    Liebert Cassidy Whitmore, with five offices spanning the Golden State, is the premiere law firm representing public agencies, educational institutions, and nonprofits in California. Our legal experts are trusted advisors in litigation, labor relations, negotiations, employment, e ...

  • Pro Solutions Group Inc.

    Payroll Accountant

    3 weeks ago

    Pro Solutions Group Inc. Los Angeles, United States

    Job Details · The Payroll & Human Resource Accountant responsibility is to prepare and maintain employee benefits, compensation, wages, evaluation, discipline and, relationship for one or more section within a department, project or division. · Duties Are, But No Limited To, As ...

  • SMA

    Business Systems Auditor

    1 week ago

    SMA Los Angeles, United States

    The Opportunity: Business Systems Auditor · Business Systems Auditor: A Business Systems Auditor reviews policies and procedures, evaluates alignment of the organization to the policies and procedures, assesses risk, develops processes and systems flowcharts, and designs audit ...